title: Standardized incidence and trend of osteoporotic hip fracture in Polish women and men: a nine year observation.
abstract: BACKGROUND
  Osteoporosis and its consequence of low trauma fracture represent a major health burden in aging population, because it results in increased morbidity, mortality and high health care costs. The number of hip fractures worldwide will approximately double by the year 2025 and more than triple by 2050. The aim of the study was to assess the incidence and trends of osteoporotic hip fracture in women and men aged over 50 years in polish population.
  
  
  METHODS
  Hospital records in population of 32,100 men and 39,984 women between January 1st, 2002 and December 31, 2010 with ICD-10 codes S72,0, S72,1 and S72,2 (femoral neck, intertrochanteric, subtrochanteric, inter and subtrochanteric fracture) were included in analysis.
  
  
  RESULTS
  The study revealed 937 low energy hip fractures (240 in men 697 and in women). Systematic increase in rate over the study period, with the 44% in last year compared to 2002 year can be noticed. The increase was lowest in female (20.7%) than in male population (57.6%), and similarly was lowest in urban (27%) than in rural (67.7%) inhabitants.
  
  
  CONCLUSIONS
  Concluding, the incidence of osteoporotic hip fracture in Polish men and women aged over 50 years is low, but the epidemiological picture is likely to change due to apparent aging of the population. Increasing trend of hip fracture incidence together with changes in age structure will result in an increased need for specialized care including several medical branches (GP, orthopedics, geriatrics, rehabilitation). Levels of evidence - IV.
authors.affiliation: Department of Orthopaedics and Traumatology, Medical University of Silesia in Katowice, Poland. Electronic address: drrobertwilk@gmail.com.
authors.forename: Robert
authors.initials: R
authors.lastname: Wilk
authors.affiliation: Department of Biostatistics, Faculty of Public Health, Medical University of Silesia, Bytom, Poland.
authors.forename: Michał
authors.initials: M
authors.lastname: Skrzypek
authors.affiliation: Department of Epidemiology, Faculty of Medicine in Katowice, Medical University of Silesia in Katowice, Poland.
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Kowalska
authors.affiliation: Department of Orthopaedics and Traumatology, Medical University of Silesia in Katowice, Poland.
authors.forename: Damian
authors.initials: D
authors.lastname: Kusz
authors.affiliation: Department of Surgery, Regional Specialist Hospital No. 4, Bytom, Poland.
authors.forename: Artur
authors.initials: A
authors.lastname: Wielgórecki
authors.affiliation: Student Scientific Group at Metabolic Bone Diseases Unit in Zabrze, Medical University of Silesia in Katowice, Poland.
authors.forename: Maciej
authors.initials: M
authors.lastname: Horyniecki
authors.affiliation: Student Scientific Group at Metabolic Bone Diseases Unit in Zabrze, Medical University of Silesia in Katowice, Poland.
authors.forename: Justyna
authors.initials: J
authors.lastname: Sliwiak
authors.affiliation: Student Scientific Group at Metabolic Bone Diseases Unit in Zabrze, Medical University of Silesia in Katowice, Poland.
authors.forename: Szczepan
authors.initials: S
authors.lastname: Piejczyk
authors.affiliation: Metabolic Bone Diseases Unit in Zabrze, Medical University of Silesia in Katowice, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Pluskiewicz
mesh_terms: D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D005260:Female; D017048:Health Care Costs; D006620:Hip Fractures / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D038801:International Classification of Diseases; D008297:Male; D010024:Osteoporosis / Q000150:complications*; D058866:Osteoporotic Fractures / Q000453:epidemiology*; D011044:Poland / Q000453:epidemiology
keywords: Crude and standardized incidence; Epidemiology; Hip fracture; Osteoporosis; Poland